WO2000071107A2 - New pharmaceutical combinations for nos inhibitors - Google Patents
New pharmaceutical combinations for nos inhibitors Download PDFInfo
- Publication number
- WO2000071107A2 WO2000071107A2 PCT/IB2000/000295 IB0000295W WO0071107A2 WO 2000071107 A2 WO2000071107 A2 WO 2000071107A2 IB 0000295 W IB0000295 W IB 0000295W WO 0071107 A2 WO0071107 A2 WO 0071107A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- pyridin
- phenyl
- ylamine
- amino
- ethoxy
- Prior art date
Links
- 239000003112 inhibitor Substances 0.000 title abstract description 17
- 150000001875 compounds Chemical class 0.000 claims abstract description 358
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims abstract description 90
- 208000035475 disorder Diseases 0.000 claims abstract description 86
- 208000019116 sleep disease Diseases 0.000 claims abstract description 38
- 208000019888 Circadian rhythm sleep disease Diseases 0.000 claims abstract description 31
- 229940124834 selective serotonin reuptake inhibitor Drugs 0.000 claims abstract description 22
- 239000012896 selective serotonin reuptake inhibitor Substances 0.000 claims abstract description 22
- 102000002002 Neurokinin-1 Receptors Human genes 0.000 claims abstract description 21
- 108010040718 Neurokinin-1 Receptors Proteins 0.000 claims abstract description 21
- 239000002464 receptor antagonist Substances 0.000 claims abstract description 21
- 229940044551 receptor antagonist Drugs 0.000 claims abstract description 21
- 230000027288 circadian rhythm Effects 0.000 claims abstract description 17
- 208000007590 Disorders of Excessive Somnolence Diseases 0.000 claims abstract description 16
- 208000006199 Parasomnias Diseases 0.000 claims abstract description 16
- 208000005793 Restless legs syndrome Diseases 0.000 claims abstract description 16
- 230000001788 irregular Effects 0.000 claims abstract description 16
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- 201000004569 Blindness Diseases 0.000 claims abstract description 15
- 208000008967 Enuresis Diseases 0.000 claims abstract description 15
- 208000001456 Jet Lag Syndrome Diseases 0.000 claims abstract description 15
- 208000008589 Obesity Diseases 0.000 claims abstract description 15
- 208000010340 Sleep Deprivation Diseases 0.000 claims abstract description 15
- 230000002060 circadian Effects 0.000 claims abstract description 15
- 206010020765 hypersomnia Diseases 0.000 claims abstract description 15
- 208000033915 jet lag type circadian rhythm sleep disease Diseases 0.000 claims abstract description 15
- 201000003631 narcolepsy Diseases 0.000 claims abstract description 15
- 208000005346 nocturnal enuresis Diseases 0.000 claims abstract description 15
- 235000020824 obesity Nutrition 0.000 claims abstract description 15
- 230000036385 rapid eye movement (rem) sleep Effects 0.000 claims abstract description 15
- 230000033764 rhythmic process Effects 0.000 claims abstract description 15
- 208000012672 seasonal affective disease Diseases 0.000 claims abstract description 15
- 230000007958 sleep Effects 0.000 claims abstract description 15
- -1 2-methoxybenzylamino Chemical group 0.000 claims description 126
- 238000000034 method Methods 0.000 claims description 97
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N EtOH Substances CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 claims description 96
- 150000003839 salts Chemical class 0.000 claims description 68
- NQRYJNQNLNOLGT-UHFFFAOYSA-N Piperidine Chemical compound C1CCNCC1 NQRYJNQNLNOLGT-UHFFFAOYSA-N 0.000 claims description 46
- 125000001997 phenyl group Chemical group [H]C1=C([H])C([H])=C(*)C([H])=C1[H] 0.000 claims description 39
- 239000008194 pharmaceutical composition Substances 0.000 claims description 37
- 241000124008 Mammalia Species 0.000 claims description 34
- 230000002401 inhibitory effect Effects 0.000 claims description 31
- 239000000203 mixture Substances 0.000 claims description 24
- 239000003795 chemical substances by application Substances 0.000 claims description 18
- 125000001797 benzyl group Chemical group [H]C1=C([H])C([H])=C(C([H])=C1[H])C([H])([H])* 0.000 claims description 16
- 206010012289 Dementia Diseases 0.000 claims description 14
- 201000002859 sleep apnea Diseases 0.000 claims description 10
- ICSNLGPSRYBMBD-UHFFFAOYSA-N alpha-aminopyridine Natural products NC1=CC=CC=N1 ICSNLGPSRYBMBD-UHFFFAOYSA-N 0.000 claims description 9
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 claims description 9
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- CWSYOPLMQPFBRW-UHFFFAOYSA-N 6-(2-propan-2-yloxy-4-pyrrolidin-3-yloxyphenyl)pyridin-2-amine Chemical compound C=1C=C(C=2N=C(N)C=CC=2)C(OC(C)C)=CC=1OC1CCNC1 CWSYOPLMQPFBRW-UHFFFAOYSA-N 0.000 claims description 8
- XDNMKFGXEPQOEJ-UHFFFAOYSA-N 6-[2-methoxy-4-(1-methylpyrrolidin-3-yl)oxyphenyl]pyridin-2-amine Chemical compound C=1C=C(C=2N=C(N)C=CC=2)C(OC)=CC=1OC1CCN(C)C1 XDNMKFGXEPQOEJ-UHFFFAOYSA-N 0.000 claims description 8
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- 229960002073 sertraline Drugs 0.000 claims description 5
- VGKDLMBJGBXTGI-SJCJKPOMSA-N sertraline Chemical compound C1([C@@H]2CC[C@@H](C3=CC=CC=C32)NC)=CC=C(Cl)C(Cl)=C1 VGKDLMBJGBXTGI-SJCJKPOMSA-N 0.000 claims description 5
- ZGBXROBHDHIQGY-UHFFFAOYSA-N 2,4-dimethyl-1,3-thiazole-5-sulfonic acid Chemical compound CC1=NC(C)=C(S(O)(=O)=O)S1 ZGBXROBHDHIQGY-UHFFFAOYSA-N 0.000 claims description 4
- HOFSYLASMQYAFY-UHFFFAOYSA-N 6-(2-methoxy-4-pyrrolidin-3-yloxyphenyl)pyridin-2-amine Chemical compound C=1C=C(C=2N=C(N)C=CC=2)C(OC)=CC=1OC1CCNC1 HOFSYLASMQYAFY-UHFFFAOYSA-N 0.000 claims description 4
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- KWQRKOSMSFLBTJ-UHFFFAOYSA-N tert-butyl 3-methylsulfonyloxypyrrolidine-1-carboxylate Chemical compound CC(C)(C)OC(=O)N1CCC(OS(C)(=O)=O)C1 KWQRKOSMSFLBTJ-UHFFFAOYSA-N 0.000 description 1
- 125000000999 tert-butyl group Chemical group [H]C([H])([H])C(*)(C([H])([H])[H])C([H])([H])[H] 0.000 description 1
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- VVYGMTKRLUBPEC-UHFFFAOYSA-J tetrapotassium dicarbonate Chemical compound [K+].[K+].[K+].[K+].[O-]C([O-])=O.[O-]C([O-])=O VVYGMTKRLUBPEC-UHFFFAOYSA-J 0.000 description 1
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- CFOAUYCPAUGDFF-UHFFFAOYSA-N tosmic Chemical compound CC1=CC=C(S(=O)(=O)C[N+]#[C-])C=C1 CFOAUYCPAUGDFF-UHFFFAOYSA-N 0.000 description 1
- NHDIQVFFNDKAQU-UHFFFAOYSA-N tripropan-2-yl borate Chemical compound CC(C)OB(OC(C)C)OC(C)C NHDIQVFFNDKAQU-UHFFFAOYSA-N 0.000 description 1
- 125000002221 trityl group Chemical group [H]C1=C([H])C([H])=C([H])C([H])=C1C([*])(C1=C(C(=C(C(=C1[H])[H])[H])[H])[H])C1=C([H])C([H])=C([H])C([H])=C1[H] 0.000 description 1
Classifications
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/22—Anxiolytics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/24—Antidepressants
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P25/00—Drugs for disorders of the nervous system
- A61P25/28—Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P27/00—Drugs for disorders of the senses
- A61P27/02—Ophthalmic agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P3/00—Drugs for disorders of the metabolism
- A61P3/04—Anorexiants; Antiobesity agents
Definitions
- the present invention relates to new pharmaceutical uses for compounds that exhibit activity as nitric oxide synthase (NOS) inhibitors. Specifically, it relates to the use of NOS inhibitors, particularly selective neuronal NOS (nNOS) inhibitors, alone or in combination with another active agent, for the treatment of disorders or conditions the treatment which can be effected or facilitated by altering circadian rhythms.
- NOS inhibitors particularly selective neuronal NOS (nNOS) inhibitors
- disorders and conditions are blindness, obesity, seasonal affective disorder, bipolar disorder; jet lag, circadian sleep rhythms disorder, sleep deprivation, REM sleep disorders, hypersomnia, parasomnias, sleep-wake cycle disorders, narcolepsy and sleep disorders associated with shift work or irregular work schedules; nocturnal enuresis, and restless-legs syndrome.
- This invention also relates to the use of a NOS inhibitor in combination with an NK-1 receptor antagonist (e.g.. a substance P receptor antagonist), alone or in combination with one or more additional active agents, for the treatment of any of the foregoing disorders.
- an NK-1 receptor antagonist e.g.. a substance P receptor antagonist
- This invention also relates to the use of a NOS inhibitor in combination with a selective serotonin reuptake inhibitor (SSRI), optionally in combination with one or more additional active agents, for the treatment of any of the foregoing disorders.
- SSRI selective serotonin reuptake inhibitor
- This invention also relates to the use of a NOS inhibitor in combination with both an NK-1 receptor antagonist and an SSRI, alone or in combination with one or more additional active agents, for the treatment of any of the foregoing disorders.
- NOS NOS - an inducible form
- nNOS neuronal NOS
- eNOS endothelial NOS
- iNOS inhibitors can reverse this. It is also believed that iNOS plays a role in the pathology of diseases of the central nervous system such as ischemia. For example, inhibition of iNOS has been shown to ameliorate cerebral ischemic damage in rats, see Am. J. Phvsiol.. 268, p. R286 (1995)). Suppression of adjuvant induced arthritis by selective inhibition of iNOS is reported in Eur. J. Pharmacol.. 273, p. 15-24 (1995).
- NO produced by nNOS is thought to play a role in diseases such as cerebral ischemia, pain, and opiate tolerance.
- diseases such as cerebral ischemia, pain, and opiate tolerance.
- inhibition of nNOS decreases infarct volume after proximal middle cerebral artery occlusion in the rat, see J. Cerebr. Blood Flow Metab., 14, p. 924- 929 (1994).
- nNOS inhibition has also been shown to be effective in antinociception, as evidenced by activity in the late phase of the formalin-induced hindpaw licking and acetic acid-induced abdominal constriction assays, see Br. J. Pharmacol., 110, p. 219-224 (1993).
- This invention relates to a method of treating a disorder or condition that can be treated by altering circadian rhythms in a mammal, including a human, comprising administering to said mammal:
- This invention also relates to a pharmaceutical composition for treating a disorder or condition that can be treated by altering circadian rhythms in a mammal, including a human, comprising:
- This invention also relates to a method of treating a condition or disorder that can be treated by altering circadian rhythms in a mammal, including a human, comprising administering to said mammal:
- SSRI selective serotonin reuptake inhibitor
- This invention also relates to a pharmaceutical composition for treating a disorder or condition that can be treated by altering circadian rhythms in a mammal, including a human, comprising: (a) a NOS inhibiting compound or pharmaceutically acceptable salt thereof;
- This invention also relates to a method for treating a disorder or condition that can be treated by altering circadian rhythms in a mammal, including a human, comprising administering to said mammal: (a) a NOS inhibiting compound or pharmaceutically acceptable salt thereof; and
- This invention also relates to a pharmaceutical composition for treating a disorder or condition that can be treated by altering circadian rhythms in a mammal, including a human, comprising:
- This invention also relates to a method for treating a disorder or condition that can be treated by altering circadian rhythms in a mammal, including a human, comprising administering to said mammal an amount of a NOS inhibiting compound or pharmaceutically acceptable salt thereof that is effective in treating such disorder or condition.
- This invention also relates to a pharmaceutical composition for treating a disorder or condition that can be treated by altering circadian rhythms in a mammal, including a human, comprising an amount of a NOS inhibiting compound or pharmaceutically acceptable salt thereof that is effective in treating such disorder condition, and a pharmaceutically acceptable carrier;
- treating refers to reversing, alleviating, inhibiting or slowing the progress of, or preventing the disorder or condition to which such term applies, or one or more symptoms of such disorder or condition.
- treatment refers to the act of treating, as “treating” is defined immediately above.
- This invention also relates to a pharmaceutical composition for treating a disorder or condition selected from blindness, obesity, seasonal affective disorder, bipolar disorder; jet lag, circadian sleep rhythms disorder, sleep deprivation, REM sleep disorders, hypersomnia, parasomnias, sleep-wake cycle disorders, narcolepsy and sleep disorders associated with shift work or irregular work schedules; nocturnal enuresis, and restless-legs syndrome in a mammal, including a human, comprising an amount of a NOS inhibiting compound or pharmaceutically acceptable salt thereof that is effective in treating such condition or disorder and a pharmaceutically acceptable carrier.
- a disorder or condition selected from blindness, obesity, seasonal affective disorder, bipolar disorder; jet lag, circadian sleep rhythms disorder, sleep deprivation, REM sleep disorders, hypersomnia, parasomnias, sleep-wake cycle disorders, narcolepsy and sleep disorders associated with shift work or irregular work schedules; nocturnal enuresis, and restless-legs syndrome in
- This invention also relates to a method of treating a disorder or condition selected from blindness, obesity, seasonal affective disorder, bipolar disorder; jet lag, circadian sleep rhythms disorder, sleep deprivation, REM sleep disorders, hypersomnia, parasomnias, sleep-wake cycle disorders, narcolepsy and sleep disorders associated with shift work or irregular work schedules; nocturnal enuresis, and restless-legs syndrome in a mammal, including a human, comprising administering to said mammal an amount of a NOS inhibiting compound or pharmaceutically acceptable salt thereof that is effective in treating or preventing such condition or disorder.
- a disorder or condition selected from blindness, obesity, seasonal affective disorder, bipolar disorder; jet lag, circadian sleep rhythms disorder, sleep deprivation, REM sleep disorders, hypersomnia, parasomnias, sleep-wake cycle disorders, narcolepsy and sleep disorders associated with shift work or irregular work schedules; nocturnal enuresis, and restless-legs
- a more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is blindness.
- Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is restless-legs syndrome. Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is jet lag.
- Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is a parasomnia.
- Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is nocturnal enuresis.
- Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is a sleep-wake cycle disorder.
- Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is hypersomnia. Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is seasonal affective disorder.
- Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is a sleep disorder associated with shift work or irregular work schedules. Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is circadian sleep rhythms disorder.
- Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is a REM sleep disorder.
- Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is bipolar disorder.
- Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is sleep deprivation. Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is narcolepsy.
- Another more specific embodiment of this invention relates to the above method wherein the disorder or condition being treated is obesity.
- This invention also relates to a method of treating a disorder or condition selected from dysthymia, major depressive disorder, bipolar disorder, seasonal affective disorder and other mood disorders; anxiety disorders (e.g..
- sleep disorders such as circadian sleep rhythm disorders, narcolepsy, sleep apnea, REM sleep disorder, parasomnias, sleep-wake cycle disorders, sleep deprivation, insomnia, hypersomnia, and sleep disorders associated with advancing age, shift work or irregular work schedules; nocturnal enuresis, restless-legs syndrome and cognitive disorders such as dementias (e.g., age related dementia and senile dementia of the Alzheimer's type) and memory disorders in a mammal, including a human, comprising administering to said mammal:
- This invention also relates to a pharmaceutical composition for treating a disorder or condition selected from dysthymia, major depressive disorder, bipolar disorder, seasonal affective disorder and other mood disorders; anxiety disorders (e.g., generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, social phobias, agoraphobia and other phobias), blindness, obesity, stroke, jet lag, sleep disorders such as circadian sleep rhythm disorders, narcolepsy, sleep apnea, REM sleep disorder, parasomnias, sleep-wake cycle disorders, sleep deprivation, insomnia, hypersomnia, and sleep disorders associated with advancing age, shift work or irregular work schedules; nocturnal enuresis, restless-legs syndrome and cognitive disorders such as dementias (e.g.
- This invention also relates to a method of treating a disorders or condition selected from dysthymia, major depressive disorder, bipolar disorder, seasonal affective disorder and other mood disorders; anxiety disorders (e.g., generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, social phobias, agoraphobia and other phobias), blindness, obesity, stroke, jet lag, sleep disorders such as circadian sleep rhythm disorders, narcolepsy, sleep apnea, REM sleep disorder, parasomnias, sleep-wake cycle disorders, sleep deprivation, insomnia, hypersomnia, and sleep disorders associated with advancing age, shift work or irregular work schedules; nocturnal enuresis, restless-legs syndrome and cognitive disorders such as dementias (e.g., age related dementia and senile dementia of the Alzheimer's type) and memory disorders in a mammal, including a human, comprising administering to said mammal:
- anxiety disorders e.g.
- This invention also relates to a pharmaceutical composition for treating a disorder or condition selected from dysthymia, major depressive disorder, bipolar disorder, seasonal affective disorder and other mood disorders; anxiety disorders (e.g., generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, social phobias, agoraphobia and other phobias), blindness, obesity, stroke, jet lag, sleep disorders such as circadian sleep rhythm disorders, narcolepsy, sleep apnea, REM sleep disorder, parasomnias, sleep-wake cycle disorders, sleep deprivation, insomnia, hypersomnia, and sleep disorders associated with advancing age, shift work or irregular work schedules; nocturnal enuresis, restless-legs syndrome and
- This invention also relates to a method for treating a disorder or condition selected from dysthymia, major depressive disorder, bipolar disorder, seasonal affective disorder and other mood disorders; anxiety disorders (e.g., generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, social phobias, agoraphobia and other phobias), blindness, obesity, stroke, jet lag, sleep disorders such as circadian sleep rhythm disorders, sleep apnea, narcolepsy, sleep apnea, REM sleep disorder, parasomnias, sleep-wake cycle disorders, sleep deprivation, insomnia, hypersomnia, and sleep disorders associated with advancing age, shift work or irregular work schedules; nocturnal enuresis, restless-legs syndrome and cognitive disorders such as dementias (e.g., age related dementia and senile dementia of the Alzheimer's type) and memory disorders in a mammal, including a human, comprising administering to said mammal: (
- This invention also relates to a pharmaceutical composition for treating a disorder or condition selected from dysthymia, major depressive disorder, bipolar disorder, seasonal affective disorder and other mood disorders; anxiety disorders (e.g., generalized anxiety disorder, obsessive-compulsive disorder, panic disorder, post-traumatic stress disorder, social phobias, agoraphobia and other phobias), blindness, obesity, stroke, jet lag, sleep disorders such as circadian sleep rhythm disorders, sleep apnea, narcolepsy, sleep apnea, REM sleep disorder, parasomnias, sleep-wake cycle disorders, sleep deprivation, insomnia, hypersomnia, and sleep disorders associated with advancing age, shift work or irregular work schedules; nocturnal enuresis, restless-legs syndrome and cognitive disorders such as dementias (e.g., age related dementia and senile dementia of the Alzheimer's type) and memory disorders in a mammal, including a human, comprising: (a) a NOS
- a pharmaceutically acceptable carrier wherein the active agents "a” and "b” are present in such composition in amounts that render the combination of the two agents effective in treating such disorder or condition.
- This invention also relates to any of the above methods and pharmaceutical compositions wherein the disorder or condition is selected from hypersomnias, parasomnias, restless-legs syndrome, sleep-wake cycle disorders and sleep disorders associated with shift work or irregular work schedules.
- This invention also relates to any of the above methods and pharmaceutical compositions wherein the NOS inhibiting compound is a compound of the formula I, II, III, IV, V or VI, as defined below.
- NOS inhibiting compounds that can be used in the methods and pharmaceutical compositions of the present invention are compounds of the formula
- ring A is a fused 5-7 membered saturated or unsaturated ring wherein from zero to two of the ring members are heteroatoms selected, independently, from nitrogen, oxygen and sulfur, with the proviso that no two adjacent ring members can both be heteroatoms;
- X is oxygen or a bond
- n is an integer from two to six
- R 1 and R 2 are selected, independently, from (Ci-Ce) alkyl, aryl, tetrahydronaphthalene and aralkyl, wherein said aryl and the aryl moiety of said aralkyl is phenyl or naphthyl and the alkyl moiety is straight or branched and contains from 1 to 6 carbon atoms, and wherein said alkyl, said aryl, said tetrahydronaphthalene and the aryl moiety of said aralkyl may optionally be substituted with from one to three substituents, preferably from zero to two substituents, that are selected, independently, from halo (e.g., chloro, fluoro, bromo, iodo), nitro, hydroxy, cyano, amino, (C C 4 ) alkoxy, and (C ⁇ -C 4 ) alkylamino; or R 1 and R 2 form, together with the nitrogen to which they are attached, a piperazine
- R 5 is selected from hydrogen, (C C ⁇ Jalkyl, phenyl, naphthyl, phenyl-(C 1 -C 6 )alkyl- and naphthyl(C 1 -C 6 )alkyl-; and wherein said piperazine, azetidine, piperidine and pyrrolidine rings may optionally be substituted with one or more substituents, preferably with from zero to two substituents that are selected, independently, from (C 1 -C 6 )alkyl, amino, (C- ⁇ -C 6 ) alkylamino, [di ⁇ C ⁇ CeJalkyljamino, phenyl substituted 5 to 6 membered heterocyclic rings containing from 1 to 4 rings nitrogen atoms, benzoyl, benzoylmethyl, benzylcarbonyl, phenylaminocarbonyl, phenylethyl and phenoxycarbonyl, and wherein the phenyl moieties of any of the fore
- NOS inhibitors of the formula I 6-[4-(3-Amino-cyclohexyloxy)-naphthalen-1-yl]-pyridin-2-ylamine; 6-[4-(3-Amino-cyclopentyloxy)-naphthalen-1-yl]-pyridin-2-ylamine; 6-[4-(3-Amino-cyclobutyloxy)-naphthalen-1-yl]-pyridin-2-yiamine;
- NOS inhibiting compounds that can be used in the methods and pharmaceutical compositions of this invention are compounds of the formula
- each ( ) n represents (CH 2 ) n ;
- R 1 and R 2 are selected, independently, from hydrogen, (C r C 6 ) alkyl, tetrahydronaphthalene and aralkyl, wherein the aryl moiety of said aralkyl is phenyl or naphthyl and the alkyl moiety is straight or branched and contains from 1 to 6 carbon atoms, and wherein said (d-C 6 ) alkyl and said tetrahydronaphthalene and the aryl moiety of said aralkyl may optionally be substituted with from one to three substituents, preferably from zero to two substituents, that are selected, independently, from halo (e.g., chloro, fluoro, bromo, iodo), nitro, hydroxy, cyano, amino, (C1-C 4 ) alkoxy, and (C ⁇ -C 4 ) alkylamino
- halo e.
- R 5 is selected from hydrogen, (d-C ⁇ alkyl, phenyl, naphthyl, phenyl-(C C 6 )alkyl- and naphthyl(C C 6 )alkyl-; and wherein said piperazine, piperidine and pyrrolidine rings may optionally be substituted with one or more substituents, preferably with from zero to two substituents that are selected, independently, from (C ⁇ -C 6 )alkyl, amino, (C f C 6 ) alkylamino, [di-(C 1 -C 6 )alkyl]amino, cyclohexyl, methanesulfonyl, phenoxyacetyl, furanylcarbonyl, trifluoromethylphenyl, phenoxyacetyl, benzenesulfonyl, isoquinolinyl, quinolinyl, hydroxyphenylethyl, aminophenylethyl, phenyl substituted
- X and Y are selected, independently, from methyl, methoxy, hydroxy and hydrogen;
- R 10 is hydrogen or (d-C 6 ) alkyl; with the proviso that R 8 is absent when N is zero and R 9 is absent when m is zero.
- Examples of preferred compounds of the formula II are those wherein NR 1 R 2 is:
- NR 3 R 4 is NH 2 .
- R 5 is aralkyl, exj., benzyl, and R 6 is (4-fluoro)phenylacetyl.
- NOS inhibiting compounds that can be used in the methods and pharmaceutical compositions of this invention are compounds of the formula
- X is CHOH, CH 2 , or CHR 10 wherein R 10 , together with X, the CH 2 group adjacent to X and the nitrogen of NR 1 R 2 , forms a five or six membered saturated ring;
- R 1 , R 2 , R 3 and R 4 are selected, independently, from hydrogen (d-C 6 ) alkyl, tetrahydronaphthalene, aryl and aralkyl, wherein said aryl and the aryl moiety of said aralkyl is phenyl or naphthyl and the alkyl moiety is straight or branched and contains from 1 to 6 carbon atoms, and wherein said (d-d.) alkyl and said tetrahydronaphthalene and the aryl moiety of said aralkyl may optionally be substituted with from one to three substituents, preferably from zero to two substituents, that are selected, independently, from halo (e.g., chloro, fluoro, bromo, iodo), nitro, hydroxy, cyano, amino, (d-C 4 ) alkoxy, and (d-d) alkylamino; or R 1 and R 2 , together with the nitrogen to which they
- R 7 is selected from hydrogen, (C 1 -C 6 )alkyl, phenyl, naphthyl, phenyl-(d-C 6 )alkyl- and naphthyl(d-C 6 )alkyl-; and wherein said piperazine, piperidine and pyrrolidine rings may optionally be substituted with one or more substituents, preferably with from zero to two substituents that are selected, independently, from (C 1 -C 6 )alkyl, amino, (C C 6 ) alkylamino, [di-(d-C 6 )alkyl]amino, phenyl substituted 5 to 6 membered heterocyclic rings containing from 1 to 4 rings nitrogen atoms, benzoyl, benzoylmethyl, benzylcarbonyl, phenylaminocarbonyl, phenylethyl and phenoxycarbonyl, and wherein the phenyl moieties of any of the foregoing substituents may optional
- compounds of the formula III include: (a) compounds of the formula III wherein R 1 , R 2 , R 3 and R 4 are selected, independently, from (d-C 6 )alkyl; (b) compounds of the formula III wherein R 3 and R 4 are selected, independently, from (C ⁇ -C 6 )alkyl, and R 1 and R 2 , together with the nitrogen to which they are attached, form a ring;
- NOS inhibiting compounds that can be used in the methods and pharmaceutical compositions of this invention are compounds of the formula
- R 1 and R 2 are selected, independently, from hydrogen, halo, hydroxy, ( d-C 6 )alkoxy, (d-C 7 )alkyl, (C 2 -C 6 )alkenyl, and (C 2 - C 10 )alkoxyalkyl; and G is selected from hydrogen, (d-C 6 )alkyl, (d-C 6 )alkoxy-(C--C 3 )alkyl, aminocarbonyl-(C ⁇ -
- R 3 and R 4 are selected, independently, from hydrogen, (d-C ) alkyl, tetrahydronaphthalene and aralkyl, wherein the aryl moiety of said aralkyl is phenyl or naphthyl and the alkyl moiety is straight or branched and contains from 1 to 6 carbon atoms, and wherein said (d-C 7 ) alkyl and said tetrahydronaphthalene and the aryl moiety of said aralkyl may optionally be substituted with from one to three substituents, preferably from zero to two substituents, that are selected, independently, from hal
- C )alkyl-0- is the oxygen atom depicted in structural formula I) at a nitrogen atom of the NR R ' ring or at any other atom of such ring having an available bonding site; or G is a group of the formula A
- Z is nitrogen or CH, n is zero or one, q is zero, one, two or three and p is zero, one or two; and wherein the 2-amino piperidine ring depicted in structure I above may optionally be replaced with
- Examples of compounds of the formula IV are those wherein G is N(R 3 )(R )(C 0 -C 4 ) alkyl and N(R 3 )(R 4 ) is amino, dimethylamino, methylbenzylamino, (d-C 4 )alkylamino, di-[(d- C 4 )alkyl]amino or one of the following groups:
- Preferred compounds of the formula IV include those wherein R 2 is hydrogen and R is (d - C 3 )alkoxy and is in the ortho position relative to the pyridine ring of formula IV.
- R 1 and R 2 are selected, independently, from (d-C 2 )alkoxy.
- NOS inhibitors that can be used in the methods and pharmaceutical compositions of this invention are compounds of the formula wherein R 1 and R 2 are selected, independently, from hydrogen, hydroxy, methyl and methoxy; and G is a group of the formula
- Y is NR 3 R 4 , (d-C 6 )alkyl or aralkyl, wherein the aryl moiety of said aralkyl is phenyl or naphthyl and the alkyl moiety is straight or branched and contains from 1 to 6 carbon atoms, and wherein said (C C 6 )alkyl and the aryl moiety of said aralkyl may be substituted with from one to three substituents, preferably from zero to two substituents, that are selected, independently, from halo (e.g., chloro, fluoro, bromo or iodo), nitro, hydroxy, cyano, amino, (d-C 4 )alkoxy and (d-C 4 ) alkylamino;
- halo e.g., chloro, fluoro, bromo or iodo
- X is N when Y is (d-C 6 ) alkyl, aralkyl, or substituted (d-C 6 )alkyl, and X is CH when Y is NR 3 R 4 ; q is zero, one or two; m is zero, one or two; and
- R 3 and R 4 are selected, independently, from (C C 6 ) alkyl, tetrahydronaphthalene and aralkyl, wherein the aryl moiety of said aralkyl is phenyl or naphthyl and the alkyl moiety is straight or branched and contains from 1 to 6 carbon atoms, and wherein said (d-C 6 ) alkyl and said tetrahydronaphthalene and the aryl moiety of said aralkyl may optionally be substituted with from one to three substituents, preferably from zero to two substituents, that are selected, independently, from halo (e.g., chloro, fluoro, bromo or iodo), nitro, hydroxy, cyano, amino, (d-C ) alkoxy, and (d-C ) alkylamino; or R 3 and R 4 form, together with the nitrogen to which they are attached, a piperazine, piperidine or pyrrolidine
- piperazine, piperidine and pyrrolidine rings may optionally be substituted with one or more substituents, preferably with from zero to two substituents, that are selected, independently, from amino, (C C 6 ) alkylamino, [di-(d-C 6 )alkyl]amino, phenyl substituted 5 to 6 membered heterocyclic rings containing from 1 to 4 rings nitrogen atoms, benzoyl, benzoylmethyl, benzylcarbonyl, phenylaminocarbonyl, phenylethyl and phenoxycarbonyl, and wherein the phenyl moieties of any of the foregoing substituents may optionally be substituted with one or more substituents, preferably with from zero to two substituents, that are selected, independently, from halo, (d-C 3 )alkyl, (d-C 3 )alkoxy, nitro, amino, cyano, CF 3 and OCF 3 ; and the pharmaceutically
- NR 5 R 6 is NH
- Specific preferred compounds of formula V include: 3- ⁇ 2-[4'-(6-Amino-pyridin-2-yl)-biphenyl-4-yl]-ethyl ⁇ -3-aza-bicyclo[3.1.0]hex-6-ylamine;
- NOS inhibitors that can be employed in the methods and pharmaceutical composition of this invention are compounds of the formula
- n and m in the bridging rings are independently 1 , 2 or 3, and a carbon in one of said bridging rings may be substituted by a heteroatom selected from O, S and N, with the proviso that a bridgehead carbon can only be substituted by nitrogen
- R 1 and R 2 are independently selected from Ci to C 6 alkyl, which may be linear, branched or cyclic or contain both linear and cyclic or branched and cyclic moieties, wherein each of R 1 and R 2 may be independently optionally substituted with from one to three substituents, preferably from zero to two substituents, that are selected, independently, from halo (e.g., chloro, fluoro, bromo, iodo), nitro, hydroxy, cyano, amino, (d-d) alkoxy, and (d-C ) alkylamino; or R 1 and R 2 form, together with the nitrogen to which they are attached, a piperazine, azetidine, piperidine or
- R 5 is selected from hydrogen, d to C 6 alkyl, phenyl, naphthyl, phenyl-d to C 6 alkyl- and naphthyl d to C 6 alkyl-.
- Preferred compounds of the formula IV include those wherein NR 1 R 2 is an optionally substituted piperidine, azetidine, piperazine or pyrrolidine ring or a 3-aza-bicyclo[3.1.0]hex-6- ylamine ring; and wherein said piperazine, azetidine, piperidine, pyrrolidine and 3-aza-bicyclo[3.1.0]hex- 6-ylamine rings may optionally be substituted with one or more substituents, preferably with from zero to two substituents that are selected, independently, from d to C 6 alkyl, amino, d to C 6 alkylamino, [di-d to C 6 alkyljamino, phenyl, substituted 5 to 6 membered heterocyclic rings containing from 1 to 4 rings nitrogen atoms, benzoyl, benzoylmethyl, benzylcarbonyl, phenylaminocarbonyl, phenylethyl and phenoxycarbonyl, and wherein the phen
- one or more substituents refers to a number of substituents that equals from one to the maximum number of substituents possible based on the number of available bonding sites.
- halo and halogen, as used herein, unless otherwise indicated, include chloro, fluoro, bromo and iodo.
- Formulas I - VI above include compounds identical to those depicted but for the fact that one or more hydrogen, carbon or other atoms are replaced by isotopes thereof. Such compounds may be useful as research and diagnostic tools in metabolism pharmacokinetic studies and in binding assays.
- SSRI's that can be used in the methods and pharmaceutical compositions of this invention are sertraline, fluoxetine, paroxetine, citalopram and fluvoxamine.
- NK-1 receptor antagonists that can be used in the methods and pharmaceutical compositions of this invention are the following compounds and their pharmaceutically acceptable salts:
- NK-1 receptor antagonists that can be used in the methods and pharmaceutical composition of this invention are those referred to in the following references, all of which are incorporated herein by reference in their entireties: United States Patent 5,162,339, which issued on November 11, 1992; United States Patent 5,232,929, which issued on August 3, 1993; World Patent Application WO 92/20676, published November 26, 1992; World Patent Application WO 93/00331, published January 7, 1993; U.S. Patent No.
- Preferred embodiments of this invention relate to the above methods and pharmaceutical compositions that employ an SSRI wherein said SSRI is sertraline.
- Other preferred embodiments of this invention are the method and pharmaceutically compositions referred to above that employ sertraline in combination with a NOS inhibiting composition of the formula I, II, III, IV, V or VI.
- compositions and methods referred to above that employ sertraline in combination with an NK-1 receptor antagonist, wherein said NK-1 receptor antagonist is selected from one of the following compounds in the pharmaceutically acceptable salts:
- Scheme 1 illustrates a method of preparing compounds of the formula I wherein X is a bond and ring A is benzo.
- Schemes 2 and 3 illustrate methods of preparing compounds of the formula I wherein X is oxygen and ring A is benzo.
- the starting materials used in the procedures of Schemes 1 and 2 are either commercially available, known in the art or readily obtainable from known compounds by methods that will be apparent to those skilled in the art.
- the compound of formula (2) is cooled to about -70°C in dry tetrahydrofuran (THF), and then a solution of n-butyl lithium is added to it. The resulting solution is then treated with triethyl borate and allowed to warm to room temperature to form the compound of formula (3).
- the compound of formula (3) is reacted with the compound of formula (4) to form the compound of formula (5).
- This reaction is generally carried out in an aqueous ethanol solvent, in the presence of sodium carbonate and tetrakistriphenylphoshine palladium, at about the reflux temperature.
- the compound of the formula (6) can be formed in the following manner. First, the compound of formula (5) is reacted with N-bromosuccinimide (NBS) and bis-(1-cyano-1-aza)- cyclohexane in carbon tetrachloride and refluxed for about 8 hours, with additional portions of the initiator being added at about 1 , 2 and 4 hours. After evaporation of the solvent, the product of this reaction is reacted with triethylammonium cyanide in methylene chloride at about room temperature to form the compound of formula (6). Saturation of a solution of the compound of formula (6) in ethanol with hydrogen chloride, followed by refluxing the mixture and then heating in aqueous hydrochloric acid, yields the compound of formula (7).
- NBS N-bromosuccinimide
- bis-(1-cyano-1-aza)- cyclohexane in carbon tetrachloride
- triethylammonium cyanide in
- the compound of the formula (7) that is formed in the preceding step can be converted into the compound of formula IA in the following manner.
- the compound of formula (7) is reacted with the appropriate compound of the formula R 2 R 1 NH and N-ethyl-N-dimethylaminopropyl carbodiimide (EDAC) in the presence of a base.
- suitable bases are those selected from trialkylamines, alkali metal carbonates and alkaline earth metal carbonates.
- This reaction is typically conducted in a solvent such as acetonitrile, methylene chloride or N,N-dimethylformamide (DMF), at a temperature from about room temperature to about 100°C, preferably at about room temperature.
- a catalytic additive such as N-hydroxysuccinamide or hydroxybenzotriazole.
- the product of the foregoing reaction is then reduced using methods well known to those of skill in the art.
- the reduction can be carried out using lithium aluminum hydride in tetrahydrofuran, with or without aluminum chloride, or using borane methyl sulfide in tetrahydrofuran, at a temperature of about -78°C to about 0°C, preferably at about -70°C, to yield the desired compound of formula IA.
- the compound of formula (8) is reacted with tetrabutylammonium tribromide in 1 ,2-dichloroethane at about room temperature.
- the product of this reaction is then treated with benzyl bromide and potassium carbonate in a solvent such as acetonitrile, at about the reflux temperature of the reaction mixture, to form the compound of formula (9).
- the compound of formula (9) is then converted into 1-benzyloxy-naphthalene-4-boronic acid by the procedure described above for preparing the boronic acid derivative of formula (3) in Scheme 1.
- the compound of formula (11) can be converted into the compound of formula (13) using the following two step process.
- the compound of formula (11) is reacted with ammonium formate and ten percent palladium on carbon, in an ethanol solvent, at about the reflux temperature of the reaction mixture, to yield the analogous compound to that having formula (11), wherein the benzyloxy group of formula (11) is replaced with a hydroxy group.
- the compound of formula (12) is then formed by reacting the above hydroxy derivative with 2-bromoethylacetate and potassium carbonate in acetonitrile at about the reflux temperature of the reaction mixture.
- the compound of formula (13) is reduced to form the corresponding compound wherein the carbonyl group is replaced by a methylene group, after which the 2,5-dimethylpyrrolyl protecting group is removed.
- the reduction can be earned out using methods well known to those of skill in the art, for example, using lithium aluminum hydride in tetrahydrofuran, with or without aluminum chloride, or using borane methyl sulfide in tetrahydrofuran, at a temperature of about -78°C to about 0°C, preferably at about -70°C.
- Removal of the 2,5-dimethylpyr ⁇ olyl protecting group can be accomplished by reaction with hydroxylamine hydrochloride. This reaction is generally carried out in an alcoholic or aqueous alcoholic solvent, at a temperature from about room temperature to about the reflux temperature of the reaction mixture, preferably at about the reflux temperature, for about 8 to about 72 hours.
- the known 1-fluoronaphthalene (14) is brominated with bromine in acetic acid at a temperature from about room temperature to about the reflux temperature of the reaction mixture for about 1 to about 48 hours, and the bromide cooled to about -70°C in dry tetrahydrofuran (THF), and then a solution of n-butyl lithium is added to it. The resulting solution is then treated with triethyl borate and allowed to warm to room temperature to form the compound of formula (15). The compound of formula (15) is reacted with the compound of formula (4) to form the compound of formula (16).
- THF dry tetrahydrofuran
- This reaction is generally carried out in an aqueous ethanol solvent, in the presence of sodium carbonate and tetrakistriphenylphoshine palladium, at about the reflux temperature.
- the compound of formula (16) is then treated with an alkali metal alkoxide prepared from a compound of the formula HO(CH 2 ) n NR 1 R 2 and sodium hydride in a polar solvent such as dimethylformamide, at a temperature from room temperature to 140°C for about 1 to about 48 hours.
- This reaction produces the corresponding compound of formula (17), which is then deblocked to remove the 2,5-dimethylpyrrolyl protecting group by reaction with hydroxylamine hydrochloride.
- This reaction is generally carried out in an alcoholic or aqueous alcoholic solvent, at a temperature from about room temperature to about the reflux temperature of the reaction mixture, preferably at about the reflux temperature, for about 8 to about 72 hours.
- pressure is not critical unless otherwise indicated. Pressures from about 0.5 atmospheres to about 5 atmospheres are generally acceptable, and ambient pressure, Le., about 1 atmosphere, is preferred as a matter of convenience.
- the compound of formula (18) is reacted with a compound of the formula CHR 3 R 4 Br or CHR 2 R 4 i and potassium carbonate, in a solvent such as acetonitrile, at about the reflux temperature of the reaction mixture, to convert the hydroxy group of formula (18) into a group having the formula -OCHR 3 R 4 .
- the resulting compound is then reduced, at about room temperature, using hydrogen gas in the presence of 10% palladium on carbon, in an ethanol solvent, to form 3-OCHR 3 R 4 -4-aminotoluene, which is then reacted with sodium nitrite and cuprous bromide in concentrated sulfuric acid to form 3-OCHR 3 R 4 -4-bromotoluene.
- the 3-OCHR 3 R -4-bromotoluene produced in the foregoing reaction is then cooled to about -70°C in dry tetrahydrofuran (THF), and a solution of n-butyl lithium is added to it.
- THF dry tetrahydrofuran
- the resulting solution is then treated with triethyl borate and allowed to warm to room temperature to form the compound of formula (19).
- the compound of formula (19) is reacted with the compound of formula (20) to form the compound of formula (21).
- This reaction is generally carried out in an aqueous ethanol solvent, in the presence of sodium carbonate and tetrakistriphenylphosphine palladium, at about the reflux temperature of the reaction mixture.
- the compound of the formula (23) can be formed in the following manner. First, the compound of formula (21) is reacted with N-bromosuccinimide (NBS) and bis-(1-cyano-1-aza)- cyclohexane (formula (22)) in carbon tetrachloride and refluxed for about 8 hours, with additional portions of the initiator being added at about 1 , 2 and 4 hours. After evaporation of the solvent, the product of this reaction is reacted with triethylammonium cyanide in methylene chloride at about room temperature to form the compound of formula (23).
- NBS N-bromosuccinimide
- formula (22) bis-(1-cyano-1-aza)- cyclohexane
- the compound of the formula (25) that is formed in the preceding step can be converted into the compound of formula III (wherein X is CH 2 ) in the following manner.
- the compound of formula (25) is reacted with the appropriate compound of the formula R 2 R 1 NH and N-ethyl-N- dimethylaminopropyl carbodiimide (EDAC) in the presence of a base.
- suitable bases are those selected from trialkylamines, alkali metal carbonates and alkaline earth metal carbonates.
- This reaction is typically conducted in a solvent such as acetonitrile, methylene chloride or N,N-dimethylformamide (DMF), at a temperature from about room temperature to about 100°C, preferably at about room temperature.
- the reaction is conducted in the presence of a catalytic additive such as N-hydroxysuccinamide or hydroxybenzotriazole.
- a catalytic additive such as N-hydroxysuccinamide or hydroxybenzotriazole.
- the product of the foregoing reaction is then reduced using methods well known to those of skill in the art.
- the reduction can be carried out using lithium aluminum hydride in tetrahydrofuran, with or without aluminum chloride, or using borane methyl sulfide in tetrahydrofuran, at a temperature of about -78°C to about 0°C, preferably at about -70°C, to yield the desired compound of formula III (wherein X is CH 2 ).
- a halogen-metal exchange reaction is carried out on 3-fluoro-4-bromotoluene in tetrahydrofuran, ether, dimethoxyethane, hexane or another suitable ethereal or hydrocarbon solvent, at a temperature from -100°C to about room temperature, using butyl lithium or another suitable alkyl lithium reagent, followed by reaction with a borate triester such as triethyl or triisopropyl borate, for about 1 to about 48 hours at a temperature from about -100°C to about the reflux temperature.
- a borate triester such as triethyl or triisopropyl borate
- the intermediate boronic acid derivative is then converted into the compound of formula (26) in an aqueous ethanol solvent, in the presence of sodium carbonate and tetrakistriphenylphosphine palladium, at about the reflux temperature of the reaction mixture, using 6-bromo-2-(t-butylcarbonylamino)pyridine as the coupling partner.
- the compound of formula (26) is then converted into a compound of the formula (27) by displacement of the fluoro group from the alcohol with a suitable alkoxide, which is formed in a solvent such as dimethylformamide, tetrahydrofuran or dioxane, and a metal hydride such as sodium hydride, at a temperature from about room temperature to about the reflux temperature, for a period of about 5 minutes to about 5 hours.
- a suitable alkoxide which is formed in a solvent such as dimethylformamide, tetrahydrofuran or dioxane, and a metal hydride such as sodium hydride
- the compound of formula (27) is then converted into the corresponding compound of the formula (25) in the following manner.
- the compound of formula (27) is reacted with N- bromosuccinimide (NBS) and bis-(1-cyano-1-aza)-cyclohexane (formula (22) in Scheme 4) in carbon tetrachloride and refluxed for about 8 hours, with additional portions of the initiator being added after about 1, 2 and 4 hours, to brominate the methyl group of such compound.
- N- bromosuccinimide N- bromosuccinimide
- bis-(1-cyano-1-aza)-cyclohexane formula (22) in Scheme 4
- the product of this reaction is reacted with triethylammonium cyanide in methylene chloride at about room temperature to form the corresponding compound wherein the bromo substituent is replaced by cyano.
- the resulting cyano derivative is then hydrolyzed to form the corresponding compound of formula (25).
- the base hydrolysis is typically carried out using an alkali metal or alkaline earth metal hydroxide in a mixture of ethanol and water at a temperature from about room temperature to about the reflux temperature of the solvent.
- the compound of the formula (25) that is formed in the preceding step can be converted into the compound of formula I in the following manner.
- the compound of formula (25) is reacted with the appropriate compound of the formula R 2 R 1 NH and N-ethyl-N-dimethylaminopropyl carbodiimide (EDAC) in the presence of a base.
- suitable bases are those selected from trialkylamines, alkali metal carbonates and alkaline earth metal carbonates.
- This reaction is typically conducted in a solvent such as acetonitrile, methylene chloride or N,N-dimethylformamide (DMF), at a temperature from about room temperature to about 100°C, preferably at about room temperature.
- a catalytic additive such as N-hydroxysuccinamide or hydroxybenzotriazole.
- the product of the foregoing reaction is then reduced using methods well known to those of skill in the art to yield the desired compound of formula III (wherein X is CH 2 ).
- the reduction can be carried out using lithium aluminum hydride in tetrahydrofuran, with or without aluminum chloride, or using borane methyl sulfide in tetrahydrofuran, at a temperature of about -
- pressure is not critical unless otherwise indicated. Pressures from about 0.5 atmospheres to about 5 atmospheres are generally acceptable, and ambient pressure, Le., about 1 atmosphere, is preferred as a matter of convenience.
- IVA Scheme 6 illustrates a method for preparing compounds of the formula I wherein G is hydrogen, R 1 is -OR wherein R is (d-C 6 )alkyl and R 2 is hydrogen. These compounds are referred to in Scheme I as compounds of the formula "IA".
- the compound of formula (28) is reacted with excess potassium carbonate and one equivalent of tosyl chloride in acetone, at a temperature from about 0°C to about 80 C C, preferably at the reflux temperature of the reaction mixture.
- a compound of the formula RX wherein R is (d-C 6 )alkyl and X is iodo, chloro or bromo, is then added to the reaction mixture and the mixture is allowed to react at a temperature ranging from about 0°C to about 80°C, preferably at the reflux temperature of the mixture. This reaction yields a compound of the formula (29).
- the compound of formula (29) is then converted into the corresponding compound of formula (30) by reacting it with potassium hydroxide in ethanol, using water as the solvent.
- This reaction can be carried out at a temperature from about room temperature to about the reflux temperature of the reaction mixture.
- the reaction mixture is heated to reflux and allowed to react at that temperature.
- the compound of formula (30) is then reacted with potassium carbonate and benzyl bromide in acetone, at a temperature from about room temperature to about 80°C, to form the corresponding compound of formula (31).
- the reaction is conducted at about the reflux temperature.
- Such protecting groups are well known to those of skill in the art.
- the above compounds of the formula (33A) are either commercially available, known in the scientific literature or easily obtaining using well known methods and reagents.
- the benzyl substituent can be removed from the compound of formula (34) by reacting such compound with ammonium formate in water or a lower alcohol solvent, or in a mixture of one or more of these solvents, at a temperature from about room temperature to about the reflux temperature of the reaction mixture. This reaction is preferably carried out at the reflux temperature in the presence of about 20% palladium hydroxide on carbon.
- the resulting compound of formula (35) is then converted into the desired compound of formula IVA by reacting it with hydroxylamine in a solvent selected from water, lower alcohols and mixtures of these solvents, at a temperature from about room temperature to about the reflux temperature of the solvent, preferably at about the reflux temperature.
- Scheme 7 illustrates a method for preparing compounds of the formula IV wherein G is hydrogen into the corresponding compounds of formula IV wherein G is other than hydrogen.
- a compound of the formula IVA can be converted into the corresponding compound of formula IVC by reacting it with the compound of the formula GX, wherein X is iodo, chloro, or bromo, and G is CH 2 CH 2 NR R 4 , and potassium carbonate in either dimethylformamide (DMF) or acetone at a temperature from about room temperature to about the reflux temperature of the mixture, preferably at about the reflux temperature.
- DMF dimethylformamide
- Compounds of the formula IVC can also be formed, as illustrated in Scheme 7, as by first preparing the corresponding compounds of formula IVB and then converting them, if so desired, into the corresponding compounds of formula IVC.
- the resulting compounds of formula of IVB can be converted into the corresponding compounds of formula IVC by reacting them with lithium aluminum hydride and aluminum chloride in a THF solvent, or with borane in THF.
- Other aluminum hydride reducing agents can also be _ -
- reaction is generally carried out at temperatures ranging from room temperature to about the reflux temperature of the reaction mixture, and is preferably carried out at the reflux temperature.
- Other appropriate solvents include other organic ethers such as ethyl ether, dioxane and glyme, THF is preferred solvent.
- Scheme 8 illustrates how certain compounds of the formula IV having different substituents R 1 and R 2 than are depicted in the processes of Scheme 6 can be prepared.
- Such compounds are prepared by a process similar to that depicted in Scheme 6, with the exception that the processes of Scheme 6 involved in the synthesis of compound (32) are replaced with those depicted in Scheme 8.
- the compound of formula (36) when R 2 is hydrogen and R 1 is fluoro at the ortho position, the compound of formula (36) is converted to the corresponding phenylboronic acid in a manner analogous to the conversion of compounds of the formula (31 ) into those of the formula (32) in Scheme (6).
- the resulting phenylboronic acid derivative is referred to in Scheme 8 as compound (32A).
- compounds of the formula IV wherein R and R 2 are both methyl and are both at an ortho position relative to the pyridine ring may be prepared by converting the compound of formula (37), as shown in Scheme 8, into the corresponding phenylboronic acid derivative designated as compound (32B), in a matter analogous to the conversion of compounds of formula (31) into those of the formula (32) in Scheme 6.
- the compounds of formulas (32A) and (32B) can then be transformed into the desired corresponding compounds of the formula IV using procedures analogous to those shown in Scheme 6.
- Scheme 9 exemplifies methods of preparing compounds of the formula IV wherein G is NR 3 R 4 and NR 3 R 4 forms an N-methylpyrrolin-2-yl ring.
- Compounds of the formula IV wherein G is NR 3 R 4 and NR R 4 forms other nitrogen containing rings can be prepared in an analogous fashion.
- the compound of formula IVD is allowed to react with 3- methanesulfonyloxy-pyrrolidine-1 -carboxylic acid tert-butyl ester to form the compound of formula (38).
- the mesylate leaving group can be replaced with another appropriate leaving group.
- a catalytic amount of tetrabutylammonium iodide (TBAI) is added to the reaction mixture.
- TBAI tetrabutylammonium iodide
- This alkylation reaction is typically carried out in the presence of an alkali metal alkoxide, preferable potassium tert-butoxide, in a high boiling polar organic solvent such as dimethylsulfoxide (DMSO) or DMF, preferably DMSO.
- the reaction temperature can range from about 50°C to about 100°C, and is preferably about 100°C.
- Reduction of the compound of formula XII yields the compound of formula IVF.
- This reduction is preferably accomplished using lithium aluminum hydride as the reducing agent and tetrahydrofuran (THF) or another organic ether (e.g., ethyl ether or glyme) as the solvent.
- THF tetrahydrofuran
- Other aluminum hydride reducing agents can also be used, such as diisobutyl aluminum hydride.
- Diborane can also be used.
- the foregoing reaction is generally conducted at a temperature from about room temperature to about the reflux temperature of the reaction mixture, preferably at about the reflux temperature.
- alkylation of the compound of formula IVD with 1-(2- chloroethyl)-pyrrolidine yields the compound of formula IVE.
- This reaction is generally conducted in the present of a base such as cesium carbonate, potassium carbonate, or sodium carbonate, preferably cesium carbonate, in a solvent such as acetone, DMSO or acetonitrile, preferably acetone, at a temperature from about room temperature to about the reflux temperature, preferably at about the reflux temperature.
- Scheme 11 illustrates a method of preparing the benzeneboronic acid intermediates use in the syntheses described in Schemes 6 and 8 above wherein the benzene ring of the benzeneboronic acid contains a cycloalkyl substituent.
- Such intermediates can be used in the processes of Schemes 6 and 8 to form compounds of the formula IV wherein one or both of R 1 and R 2 are cycloalkyl groups.
- the compound of formula (39) is allowed to reflux, in the presence of magnesium metal, in THF or ethyl ether for about 8 hours, after which cyclobutanone is added to the reaction mixture. This reaction yields the compound of formula (40).
- the compound of formula (42) that was formed in the above step is then brominated by reaction with N-bromosuccinimide (NBS) and silica gel in a chlorinated hydrocarbon solvent such as carbon tetrachloride, methylene chloride or chloroform. This reaction is typically carried out at room temperature.
- the compound of formula (43) that is produced in this reaction can then be converted into the benzeneboronic acid derivative of formula (44) in the following manner.
- the compound of formula (43) in a solvent such as THF, is cooled to a temperature of about -78°C to about -70°C, after which n-butyl lithium is added. After stirring the reaction mixture for about 1 hour, triethyl borate is added and the mixture is allowed to stir for an additional 1-3 hours.
- the benzeneboronic acid intermediate can then be isolated by methods well known to of those skilled _ 74 _
- Scheme 12 exemplifies a process for making compounds of the formula IV wherein G is alkenyl, as well as compounds of the formula IV wherein G is hydrogen and R 2 is an alkyl or alkenyl group.
- the compound of formula IVA is converted into the corresponding compound having the formula IVH using an alkylation reaction analogous to that used to convert the compound of formula IVD into that of formula IVG in Scheme 11. Heating the resulting compound of formula IVH to about 230°C yields the corresponding compounds of formulas IVJ and IVK.
- Scheme 13 illustrates an alternate method of preparing compounds of the formula IV wherein G is NR 3 R 4 (C 0 -C ) alkyl.
- G is NR 3 R 4 (C 0 -C ) alkyl.
- a compound of the formula (45) is reacted with bromine in acetic acid at a temperature from about 0°C to about 60°C, preferably at about room temperature. This reaction produces the corresponding compound having a bromine substituent para to the fluoro substituent, which can then be converted into the corresponding boronic acid derivative of formula (46) as described above for the synthesis of compounds of the formula (32) (in Scheme 6) and (44) (in Scheme 11).
- Scheme 14 illustrates a method of synthesizing compounds of the formula I wherein G is an optionally substituted pyrrolidin-2-yl or pyrrolidin-3-yl group.
- G is an optionally substituted pyrrolidin-2-yl or pyrrolidin-3-yl group.
- a compound of the formula IVA is reacted with a compound of the formula triphenylphosphine and diethylazodicarboxylate or another water soluble azodicarboxylate in THF under standard Mitsunobo reaction conditions. Typically, the reactants are combined at about 0°C and then allowed to warm to room temperature.
- the compound of formula (48) that is formed in the above reaction can be converted into the desired product having formula IVP (or a similar compound wherein the methyl substituent depicted in structure IVP is replaced with another alkyl group) by reducing it.
- This reduction can be accomplished by reacting the product from the preceding reaction with lithium aluminum hydride and aluminum chloride in THF or borane in THF as described above for the formation of compounds of the formula IVC.
- the corresponding compound of formula IV wherein the alkyl substituent on the pyrrolidine nitrogen formula IVP is replaced with hydrogen can be obtained by reacting the compound of formula (48), or an alkyl analogue of (48), as referred to above, with trifluoroacetic acid or hydrochloric acid in a solvent such as dioxane, or ether, preferably dioxane, at a temperature from about 0°C to about reflux temperature of the reaction mixture, preferably at about the reflux temperature.
- a solvent such as dioxane, or ether, preferably dioxane
- compound (50) is prepared by reaction of 1 ,4-dibromobenzene with an organolithium reagent, preferably butyl lithium, at a temperature from -100°C to about 0°C, followed by addition to 2-(2,5-dimethylpyrrolyl)-pyridine at a temperature from about 0°C to about 50°C in an ethereal solvent, preferably diethyl ether, for about 1 to 24 hours.
- organolithium reagent preferably butyl lithium
- Compound (51) is prepared by reacting (50) with a boronic acid derivative of the formula p-OHC(CH 2 ) m - 2 (C 6 H 3 R 1 R 2 )B(OH) 2 in a solvent consisting of an alcohol, preferably ethanol, optionally mixed with water and a halogenated hydrocarbon, at a temperature from about 25°C to about 150°C, for about 1 to 24 hours, using a palladium-based catalyst, either palladium-zero or palladium-two oxidation state, typically with phosphine ligands, preferably tetrakis-triphenylphosphine palladium.
- a solvent consisting of an alcohol, preferably ethanol, optionally mixed with water and a halogenated hydrocarbon
- Compound (52) is prepared by reacting (51) with tosylmethylisocyanide in the presence of potassium t-butoxide and ethanol, in an ethereal solvent such as 1,2-dimethoxyethane, at a temperature from about -100°C to about 100°C, for about 1 to 24 hours.
- Compound (53) is prepared from (52) by basic hydrolysis of the nitrite using an alkali metal hydroxide in an aqueous alcohol-based solvent, such as aqueous ethanol, at a temperature from about 25°C to about 125°C, for about 30 minutes to 48 hours.
- Compound (54) is prepared from (53) by dehydrative coupling with ammonia, a primary or secondary amine of the fomnula R 3 R NH effected by a dehydrating agent such as a carbodiimide, for example, N-ethyl-N-(dimethylaminopropyl)- carbodiimide, in a solvent that is a halogenated hydrocarbon or a N.N-dialkylamide, such as dimethylformamide, at a temperature from about 0°C to about 100°C, for about 1 to 48 hours.
- a dehydrating agent such as a carbodiimide, for example, N-ethyl-N-(dimethylaminopropyl)- carbodiimide
- a solvent that is a halogenated hydrocarbon or a N.N-dialkylamide, such as dimethylformamide at a temperature from about 0°C to about 100°C, for about 1 to 48 hours.
- Compound (55) is prepared from (54) by deblocking using hydroxylamine hydrochloride in an aqueous or alcoholic solvent, preferably aqueous ethanol, at a temperature from about 25°C to about 100°C, for about 1 to 48 hours, and may include deblocking a protecting group such a the t- butoxycarbonyl group by reaction with trifluoroacetic acid or a related polyhalogenated acetic acid or a gaseous hydrogen halide such as HCI, in a halogenated hydrocarbon, ethereal solvent or ethyl acetate, at a temperature from about -70°C to about 100°C, for about 10 minutes to 24 hours.
- an aqueous or alcoholic solvent preferably aqueous ethanol
- an ethereal solvent such as ethyl ether or tetrahydrofuran
- compound (56) is prepared from (50) by reaction with 3-pyridyl boronic acid and a palladium catalyst, in either the palladium-zero or palladium-two oxidation state, with ligands typically comprised of trialkyl or triaryl phosphines, such as tetrakis-triphenylphosphine palladium, in an aqueous alcoholic solvent at a temperature from about 25°C to about 125°C for about 1 to 48 hours.
- ligands typically comprised of trialkyl or triaryl phosphines, such as tetrakis-triphenylphosphine palladium
- Compound (57) is prepared from (56) by alkylation with an alkyl or aralkyl halide or sulfonate, in an ethereal, alcoholic , aqueous alcoholic, or dialkylamine-based solvent, such as dimethylformamide, at a temperature from about 0°C to about 125°C for about 30 minutes to 72 hours, followed by reduction with a borohydride- or aluminum hydride-based reagent, such as sodium borohydride, in an ethereal, alcoholic, or aqueous-alcoholic solvent, typically methanol, at a temperature from about 0°C to about 125°C for about 1 to 72 hours.
- a borohydride- or aluminum hydride-based reagent such as sodium borohydride
- Y in formulas (57) and VA-a is benzyl.
- Compounds of the formula VA-a wherein Y is benzyl can be converted into the corresponding compounds wherein Y is other than benzyl by debenzylation using hydrogen or ammonium formate in the presence of a noble metal catalyst, such as palladium, in an ethereal, halogenated hydrocarbon, alcoholic, or aqueous alcoholic solvent, at a temperature from 0 C C to 100°C for a time from 30 minutes to 24 hours, followed by reductive amination with an alkyl or aralkyl aldehyde in the presence of a borohydride-based reagent such as sodium cyanoborohydride or sodium triacetoxyborohydride, in an ethereal, halogenated hydrocarbon, alcoholic, or aqueous-alcoholic solvent, at a temperature from 0°C to 100°C for a time from 1 to 72 hours.
- a noble metal catalyst such as palla
- compound (58) is prepared by reductive amination of 2-(4- bromophenylmethyl)-piperidine with benzaldehyde and a borohydride-based reagent such as sodium cyanoborohydride or sodium triacetoxyborohydride, in an ethereal, halogenated hydrocarbon, alcoholic, or aqueous-alcoholic solvent, at a temperature from about 0°C to about 100°C for about 1 to 72 hours.
- a borohydride-based reagent such as sodium cyanoborohydride or sodium triacetoxyborohydride
- Compound (59) is prepared from compound (58) by reaction of compound (58) with an organolithium reagent, typically butyl lithium, followed by addition of the resulting organolithium reagent to 2-(2,5-dimethylpyrrolyl)-pyridine, in an ethereal solvent such as ethyl ether, at a temperature from about -70°C to about 100°C for about 30 minutes to 48 hours.
- organolithium reagent typically butyl lithium
- 2-(2,5-dimethylpyrrolyl)-pyridine in an ethereal solvent such as ethyl ether
- compound (60) is prepared from 6-bromo-2-(2,5- dimethylpyrrolyl)-pyridine and 4-formylphenylboronic acid in the presence of a palladium catalyst, . -
- ligands typically comprised of trialkyl or triaryl phosphines, such as tetrakis-triphenylphosphine palladium, in an aqueous alcoholic solvent, at a temperature from about 25°C to about 125°C for about 1 to 48 hours.
- Compound (61) is then prepared from (60) by reaction of (60) with the enamine of a ketone or aldehyde, typically the mo ⁇ holine or pyrrolidine enamine, in a aromatic hydrocarbon, hydrocarbon, or halogenated hydrocarbon solvent, preferably toluene, at a temperature from about 25°C to about 150°C for about 1 to 72 hours, followed by an aqueous hydrolysis step, typically with aqueous hydrochloric acid, and then reduction with hydrogen or ammonium formate in the presence of a noble metal catalyst, such as palladium, in an ethereal, halogenated hydrocarbon, alcoholic, or aqueous alcoholic solvent, at a temperature from about 0°C to about 100°C for about 30 minutes to 24 hours.
- a noble metal catalyst such as palladium
- the final compound in Scheme 18, VA is prepared by reductive amination of compound (61) with ammonia, a primary amine, or a secondary amine in the presence of a borohydride-based reagent such as sodium cyanoborohydride or sodium triacetoxyborohydride, in an ethereal, halogenated hydrocarbon, alcoholic, or aqueous-alcoholic solvent, at a temperature from about 0°C to about 100°C for about 1 to 72 hours, followed by deblocking with hydroxylamine hydrochloride in an alcoholic or aqueous- alcoholic solvent, typically aqueous ethanol, at a temperature from about 25 C C to about 125°C for about 1 to 72 hours.
- a borohydride-based reagent such as sodium cyanoborohydride or sodium triacetoxyborohydride
- compound (62) is prepared from 3-(4-bromophenyl)-glutaric acid by dehydration with acetic anhydride or a similar dehydrating reagent, followed by reaction with benzylamine in a hydrocarbon, aromatic hydrocarbon, or halogenated hydrocarbon solvent, at a temperature from about 25°C to about 180°C for about 1 to 48 hours, followed by dehydration with acetic anhydride, or a similar dehydrating reagent, at a temperature from about 25 C C to about reflux for about 1 to 48 hours.
- Compound (63) is prepared by reduction of (64) with borane, borane methyl sulfide, alane, or lithium aluminum hydride in an ethereal or hydrocarbon solvent, at a temperature from about 0°C to about 100°C for about 30 minutes to 48 hours.
- Compound (64) is prepared from compound (63) by reaction of compound (63) with an organolithium reagent, typically butyl lithium, followed by addition of the resulting organolithium reagent to 2-(2,5- dimethylpyrrolyl)-pyridine, in an ethereal solvent, such as ethyl ether, at a temperature from about - 70°C to about 100°C for about 30 minutes to 48 hours.
- an organolithium reagent typically butyl lithium
- 2-(2,5- dimethylpyrrolyl)-pyridine in an ethereal solvent, such as ethyl ether
- the compound of formula (65) is prepared by reaction of norbornylene and 2-hydroxypyrone followed by aromatization with palladium oxide, according to the procedure described in Syn. Commun., 5, 461, (1975). It is then reacted with tetrabutylammonium tribromide in 1 ,2-dichloroethane at about room temperature for about 10 minutes to about 10 hours. The product of this reaction is then treated with benzyl bromide and potassium carbonate in a solvent such as acetonitrile, at about the reflux temperature of the reaction mixture for about 1 to 48 hours, to form the compound of formula (66).
- the compound of formula (66) is then converted into 5-benzyloxy-1 ,2,3,4-tetrahydro-1 ,4- methano-naphthalene-8-boronic acid by cooling the compound of formula III to about -70°C in dry tetrahydrofuran (THF), and adding a solution of n-butyl lithium to it. The resulting solution is then treated with triethyl borate and allowed to warm to room temperature for about 1 to 48 hours to form 5-benzyloxy-1,2,3,4-tetrahydro-1,4-methano-naphthalene-8-boronic acid.
- THF dry tetrahydrofuran
- the compound of fomnula (67) can be converted into the compound of formula V using the following two step process.
- the compound of formula (67) is reacted with ammonium formate and ten percent palladium on carbon, in an ethanol solvent, at about the reflux temperature of the reaction mixture, for about 10 minutes to about 10 hours to yield the analogous compound to that having formula (67), wherein the benzyloxy group of formula (67) is replaced with a hydroxy group.
- the compound of formula (68) is then formed by reacting the above hydroxy derivative with 2- bromoethylacetate and potassium carbonate in acetonitrile at about the reflux temperature of the reaction mixture for about 1 to 48 hours.
- Suitable bases are those selected from trialkylamines, alkali metal carbonates and alkaline earth metal carbonates.
- This reaction is typically conducted in a solvent such as acetonitrile, methylene chloride or N,N-dimethylformamide (DMF), at a temperature from about room temperature to about 100°C, preferably at about room temperature for about 1 to 48 hours.
- a catalytic additive such as N-hydroxysuccinamide or hydroxybenzotriazole.
- the compound of formula (69) can be converted into the desired compound of formula I as follows.
- the compound of formula (69) is reduced to form the corresponding compound wherein the carbonyl group is replaced by a methylene group, after which the 2,5-dimethylpyrrolyl protecting group is removed.
- the reduction can be carried out using methods well known to those of skill in the art, for example, using lithium aluminum hydride in tetrahydrofuran, with or without aluminum chloride, or using borane methyl sulfide in tetrahydrofuran, at a temperature of about -78°C to about reflux, preferably at about -70°C to room temperature for about 1 to about 24 hours.
- Removal of the 2,5-dimethylpyrrolyl protecting group can be accomplished by reaction with hydroxylamine hydrochloride. This reaction is generally carried out in an alcoholic or aqueous alcoholic solvent (preferably, using ethanol as the alcohol), at a temperature from about room temperature to about the reflux temperature of the reaction mixture, preferably at about the reflux temperature, for about 8 to about 72 hours.
- an alcoholic or aqueous alcoholic solvent preferably, using ethanol as the alcohol
- pressure is not critical unless otherwise indicated. Pressures from about 0.5 atmospheres to about 5 atmospheres are generally acceptable, and ambient pressure, e., about 1 atmosphere, is preferred as a matter of convenience.
- the compounds of formulas l-VI that are basic in nature are capable of forming a wide variety of different salts with various inorganic and organic acids. Although such salts must be pharmaceutically acceptable for administration to animals, it is often desirable in practice to initially isolate a compound of the formula I, II, III, IV, V or VI from the reaction mixture as a pharmaceutically unacceptable salt and then simply convert the latter back to the free base compound by treatment with an alkaline reagent and subsequently convert the latter free base to a pharmaceutically acceptable acid addition salt.
- the acid addition salts of the active base compounds of this invention are readily prepared by treating the base compound with a substantially equivalent amount of the chosen mineral or organic acid in an aqueous solvent medium or in a suitable organic solvent, such as methanol or ethanol. Upon careful evaporation of the solvent, the desired solid salt is readily obtained.
- the compounds of formulas I, II, III, IV, V and VI, and their pharmaceutically acceptable salts, are useful as NOS inhibitors Le., they possess the ability to inhibit the NOS enzyme in mammals, and therefore they are able to function as therapeutic agents in the treatment of the aforementioned disorders and diseases in an afflicted mammal.
- the ability of compounds of formulas l-VI to inhibit NOS may be determined using procedures described in the literature.
- the ability of compounds of the formulae I to inhibit endothelial NOS may be determined by using the procedures described by Schmidt et aL in Proc. Natl. Acad. Sci. U.S.A., 88, pp. 365-369 (1991) and by Pollock et a]., in Proc. Natl. Acad. Sci. U.S.A., 88, pp. 10480-10484 (1991).
- the ability of compounds of the formulae I to inhibit inducible NOS may be determined using the procedures described by Schmidt et aL, in Proc. Natl. Acad, Sci.
- the compounds of formula l-VI and their pharmaceutically acceptable salts can be administered via either the oral, parenteral or topical routes.
- these compounds are most desirably administered, when used as the single active agent for the treatment of disorders or conditions that can be treated by altering circadian rhythms, in dosages ranging from about 0.01 to about 250 mg per day, in single or divided doses (Le., from 1 to 4 doses per day), although variations will necessarily occur depending upon the species, weight and condition of the subject being treated and the particular route of administration chosen.
- a dosage level that is in the range of about 0.07 mg to about 21 mg per kg of body weight per day is most desirably employed.
- Variations may nevertheless occur depending upon the species of animal being treated and its individual response to said medicament, as well as on the type of pharmaceutical formulation chosen and the time period and interval at which such administration is carried out.
- dosage levels below the lower limit of the aforesaid range may be more than adequate, while in other cases still larger doses may be employed without causing any harmful side effect, provided that such larger doses are first divided into several small doses for administration throughout the day.
- the compounds of formulas l-VI may be administered alone or in combination with pharmaceutically acceptable carriers or diluents by either of the three routes previously indicated, and such administration may be carried out in single or multiple doses. More particularly, such therapeutic agents can be administered in a wide variety of different dosage forms, Le., they may be combined with various pharmaceutically acceptable inert carriers in the form of tablets, capsules, lozenges, troches, hard candies, powders, sprays, creams, salves, suppositories, jellies, gels, pastes, lotions, ointments, aqueous suspensions, injectable solutions, elixirs, syrups, and the like.
- Such carriers include solid diluents or fillers, sterile aqueous media and various non-toxic organic solvents, etc.
- oral pharmaceutical compositions can be suitably sweetened and/or flavored.
- the therapeutically-effective compounds of this invention are present in such dosage forms at concentration levels ranging from about 5.0% to about 70% by weight.
- tablets containing various excipients such as microcrystalline cellulose, sodium citrate, calcium carbonate, dicalcium phosphate and glycine may be employed along with various disintegrants such as starch (and preferably com, potato or tapioca starch), alginic acid and certain complex silicates, together with granulation binders like polyvinylpyrrolidone, sucrose, gelatin and acacia.
- disintegrants such as starch (and preferably com, potato or tapioca starch), alginic acid and certain complex silicates, together with granulation binders like polyvinylpyrrolidone, sucrose, gelatin and acacia.
- lubricating agents such as magnesium stearate, sodium lauryl sulfate and talc are often very useful for tabletting pu ⁇ oses.
- compositions of a similar type may also be employed as fillers in gelatin capsules; preferred materials in this connection also include lactose or milk sugar as well as high molecular weight polyethylene glycols.
- preferred materials in this connection also include lactose or milk sugar as well as high molecular weight polyethylene glycols.
- the active ingredient may be combined with various sweetening or flavoring agents, coloring matter or dyes, and, if so desired, emulsifying and/or suspending agents as well, together with such diluents as water, ethanol, propylene glycol, glycerin and various like combinations thereof.
- solutions of a compound of the formula I, II, III, IV, V or VI, or a pharmaceutically acceptable salt thereof, in either sesame or peanut oil or in aqueous propylene glycol may be employed.
- the aqueous solutions should be suitably buffered (preferably pH greater than 8) if necessary and the liquid diluent first rendered isotonic.
- These aqueous solutions are suitable for intravenous injection pu ⁇ oses.
- the oily solutions are suitable for intraarticular, intramuscular and subcutaneous injection purposes. The preparation of all these solutions under sterile conditions is readily accomplished by standard pharmaceutical techniques well known to those skilled in the art.
- the compounds of formulas l-VI topically when treating inflammatory conditions of the skin, and this may be done by way of creams, jellies, gels, pastes, patches, ointments and the like, in accordance with standard pharmaceutical practice.
- This invention relates both to methods of treating disorders or conditions that can be treated by altering circadian rhythms in which the NOS inhibiting compound and the SSRI and/or NK-1 receptor antagonist are administered together, as part of the same pharmaceutical composition, and to methods in which these active agents are administered separately as part of an appropriate dose regimen designed to obtain the benefits of the combination therapy.
- the appropriate dose regimen, the amount of each dose administered, and specific intervals between doses of each active agent will depend on the subject being treated, and the source and severity of the condition.
- the NOS inhibiting compound will be administered to an average 70 kg adult human in an amount ranging from about 0.01 to about 10 mg per kg body weight of the subject being treated per day, in single or divided doses, preferably from about 1 to about 3 mg/kg
- the SSRI will be administered in an amount ranging from about 0.2 to about 30 mg per kg body weight of the subject being treated per day, in single or divided doses
- the NK-1 receptor antagonist will be administered in an amount ranging from about 0.16 to about 500 mg per day, in single or divided doses. Variations may nevertheless occur depending upon the species of animal being treated and its individual response to said medicament, as well as on the type of pharmaceutical formulation chosen and the time period and interval at which such administration is carried out.
- dosage levels below the lower limit of the aforesaid range may be more than adequate, while in other cases still larger doses may be employed without causing any harmful side effect, provided that such larger doses are first divided into several small doses for administration throughout the day.
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Abstract
Description
Claims
Priority Applications (18)
Application Number | Priority Date | Filing Date | Title |
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PL00358538A PL358538A1 (en) | 1999-05-21 | 2000-03-16 | New pharmaceutical combinations for nos inhibitors |
SK1660-2001A SK16602001A3 (en) | 1999-05-21 | 2000-03-16 | New pharmaceutical combinations for NOS inhibitors |
KR1020017014884A KR20020010916A (en) | 1999-05-21 | 2000-03-16 | New pharmaceutical combinations for nos inhibitors |
IL14595500A IL145955A0 (en) | 1999-05-21 | 2000-03-16 | New pharmaceutical combinations for nos inhibitors |
EP00907891A EP1178784A1 (en) | 1999-05-21 | 2000-03-16 | New pharmaceutical combinations for nos inhibitors |
AU29353/00A AU2935300A (en) | 1999-05-21 | 2000-03-16 | New pharmaceutical combinations for nos inhibitors |
HU0301287A HUP0301287A3 (en) | 1999-05-21 | 2000-03-16 | New pharmaceutical combinations for nos inhibitors |
JP2000619414A JP2003523941A (en) | 1999-05-21 | 2000-03-16 | Novel pharmaceutical combinations for NOS inhibitors |
EEP200100611A EE200100611A (en) | 1999-05-21 | 2000-03-16 | New pharmaceutical combinations of NOS inhibitors |
CA002374668A CA2374668A1 (en) | 1999-05-21 | 2000-03-16 | New pharmaceutical combinations for nos inhibitors |
APAP/P/2001/002326A AP2001002326A0 (en) | 1999-05-21 | 2000-03-16 | New pharmaceuticals combinations for nos inhibitors. |
EA200101110A EA200101110A1 (en) | 1999-05-21 | 2000-03-16 | NEW PHARMACEUTICAL COMBINATIONS OF NOS INHIBITORS |
BR0010820-0A BR0010820A (en) | 1999-05-21 | 2000-03-16 | Pharmaceutical combinations for nos inhibitors |
MXPA01011978A MXPA01011978A (en) | 1999-05-21 | 2000-03-16 | New pharmaceutical combinations for nos inhibitors. |
IS6126A IS6126A (en) | 1999-05-21 | 2001-10-26 | New pharmaceutical compositions for NOS lazy |
NO20015651A NO20015651L (en) | 1999-05-21 | 2001-11-20 | New pharmaceutical combinations for NOS inhibitors |
HR20010862A HRP20010862A2 (en) | 1999-05-21 | 2001-11-20 | New pharmaceutical combinations for nos inhibitors |
BG06208A BG106208A (en) | 1999-05-21 | 2001-12-11 | New pharmaceutical combinations for nos inhibitors |
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Application Number | Priority Date | Filing Date | Title |
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US13552099P | 1999-05-21 | 1999-05-21 | |
US60/135,520 | 1999-05-21 |
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WO2000071107A2 true WO2000071107A2 (en) | 2000-11-30 |
WO2000071107A8 WO2000071107A8 (en) | 2002-01-24 |
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PCT/IB2000/000295 WO2000071107A2 (en) | 1999-05-21 | 2000-03-16 | New pharmaceutical combinations for nos inhibitors |
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EP (1) | EP1178784A1 (en) |
JP (1) | JP2003523941A (en) |
KR (1) | KR20020010916A (en) |
CN (1) | CN1617743A (en) |
AP (1) | AP2001002326A0 (en) |
AR (1) | AR022640A1 (en) |
AU (1) | AU2935300A (en) |
BG (1) | BG106208A (en) |
BR (1) | BR0010820A (en) |
CA (1) | CA2374668A1 (en) |
CO (1) | CO5160295A1 (en) |
DZ (1) | DZ3041A1 (en) |
EA (1) | EA200101110A1 (en) |
EE (1) | EE200100611A (en) |
GT (1) | GT200000071A (en) |
HN (1) | HN2000000045A (en) |
HR (1) | HRP20010862A2 (en) |
HU (1) | HUP0301287A3 (en) |
IL (1) | IL145955A0 (en) |
IS (1) | IS6126A (en) |
MA (1) | MA26732A1 (en) |
MX (1) | MXPA01011978A (en) |
NO (1) | NO20015651L (en) |
OA (1) | OA11943A (en) |
PA (1) | PA8494601A1 (en) |
PE (1) | PE20010157A1 (en) |
PL (1) | PL358538A1 (en) |
SK (1) | SK16602001A3 (en) |
TN (1) | TNSN00106A1 (en) |
TR (1) | TR200103351T2 (en) |
UY (1) | UY26148A1 (en) |
WO (1) | WO2000071107A2 (en) |
ZA (1) | ZA200109555B (en) |
Cited By (15)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2001052854A1 (en) * | 2000-01-18 | 2001-07-26 | Boehringer Ingelheim Pharma Kg | Nk1-receptor antagonists for treatment of restless legs syndrome |
WO2002012187A1 (en) * | 2000-08-04 | 2002-02-14 | Astrazeneca Ab | Novel phenylheteroazetidines, useful as nitric oxide synthase inhibitors |
EP1284141A2 (en) * | 2001-08-15 | 2003-02-19 | Pfizer Products Inc. | Pharmaceutical combinations comprising neuronal nitric oxide synthase inhibitors for the treatment of neurodegenerative diseases |
WO2003030993A1 (en) * | 2001-10-10 | 2003-04-17 | Pfizer Products Inc. | 2-amino-6-(2,4,5-substituted-phenyl)-pyridines for use as nitric oxide synthase inhibitors |
US6803470B2 (en) * | 2001-10-10 | 2004-10-12 | Pfizer Inc | 2-amino-6-(2,4,5-substituted-phenyl)-pyridines |
EP1634598A1 (en) * | 2004-09-07 | 2006-03-15 | Laboratorios Del Dr. Esteve, S.A. | Use of piperazine derivatives and analogues for the manufacture of a medicament for the prophylaxis and/or treatment of disorders of food ingestion |
US7407970B2 (en) * | 2003-06-24 | 2008-08-05 | Neurosearch A/S | 8-aza-bicyclo[3.2.1]octane derivatives and their use as monoamine neurotransmitter re-uptake inhibitors |
US8633197B2 (en) | 2007-06-08 | 2014-01-21 | Janssen Pharmaceutica N.V. | Piperidine/piperazine derivatives |
US8835437B2 (en) | 2007-06-08 | 2014-09-16 | Janssen Pharmaceutica N.V. | Piperidine/piperazine derivatives |
US8946228B2 (en) | 2007-06-08 | 2015-02-03 | Janssen Pharmaceutica N.V. | Piperidine/piperazine derivatives |
US8981094B2 (en) | 2007-06-08 | 2015-03-17 | Janssen Pharmaceutica N.V. | Piperidine/piperazine derivatives |
US9107946B2 (en) | 2008-06-05 | 2015-08-18 | Janssen Pharmaceutica Nv | Drug combinations comprising a DGAT inhibitor and a PPAR-agonist |
US10154988B2 (en) | 2012-11-14 | 2018-12-18 | The Johns Hopkins University | Methods and compositions for treating schizophrenia |
EP3983392A4 (en) * | 2019-06-14 | 2023-12-06 | SRX Cardio, LLC | Compounds for the modulation of proprotein convertase subtilisin/kexin type 9 (pcsk9) |
US12115154B2 (en) | 2020-12-16 | 2024-10-15 | Srx Cardio, Llc | Compounds for the modulation of proprotein convertase subtilisin/kexin type 9 (PCSK9) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
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JP5642661B2 (en) * | 2009-03-05 | 2014-12-17 | 塩野義製薬株式会社 | Piperidine and pyrrolidine derivatives having NPYY5 receptor antagonistic activity |
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2000
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- 2000-03-16 SK SK1660-2001A patent/SK16602001A3/en unknown
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- 2000-03-16 HU HU0301287A patent/HUP0301287A3/en unknown
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- 2000-03-16 AU AU29353/00A patent/AU2935300A/en not_active Abandoned
- 2000-03-16 BR BR0010820-0A patent/BR0010820A/en not_active IP Right Cessation
- 2000-03-16 AP APAP/P/2001/002326A patent/AP2001002326A0/en unknown
- 2000-03-16 TR TR2001/03351T patent/TR200103351T2/en unknown
- 2000-03-16 CN CNA008078785A patent/CN1617743A/en active Pending
- 2000-03-16 EP EP00907891A patent/EP1178784A1/en not_active Ceased
- 2000-03-16 PL PL00358538A patent/PL358538A1/en not_active Application Discontinuation
- 2000-03-16 WO PCT/IB2000/000295 patent/WO2000071107A2/en not_active Application Discontinuation
- 2000-03-16 EE EEP200100611A patent/EE200100611A/en unknown
- 2000-03-16 CA CA002374668A patent/CA2374668A1/en not_active Abandoned
- 2000-04-04 HN HN2000000045A patent/HN2000000045A/en unknown
- 2000-04-04 CO CO00024427A patent/CO5160295A1/en unknown
- 2000-04-25 PA PA20008494601A patent/PA8494601A1/en unknown
- 2000-05-17 TN TNTNSN00106A patent/TNSN00106A1/en unknown
- 2000-05-17 GT GT200000071A patent/GT200000071A/en unknown
- 2000-05-17 DZ DZ000084A patent/DZ3041A1/en active
- 2000-05-17 MA MA25976A patent/MA26732A1/en unknown
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- 2000-05-19 PE PE2000000473A patent/PE20010157A1/en not_active Application Discontinuation
- 2000-05-19 AR ARP000102387A patent/AR022640A1/en not_active Application Discontinuation
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2001
- 2001-10-26 IS IS6126A patent/IS6126A/en unknown
- 2001-11-20 HR HR20010862A patent/HRP20010862A2/en not_active Application Discontinuation
- 2001-11-20 NO NO20015651A patent/NO20015651L/en not_active Application Discontinuation
- 2001-11-20 ZA ZA200109555A patent/ZA200109555B/en unknown
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WO2001052854A1 (en) * | 2000-01-18 | 2001-07-26 | Boehringer Ingelheim Pharma Kg | Nk1-receptor antagonists for treatment of restless legs syndrome |
WO2002012187A1 (en) * | 2000-08-04 | 2002-02-14 | Astrazeneca Ab | Novel phenylheteroazetidines, useful as nitric oxide synthase inhibitors |
EP1284141A2 (en) * | 2001-08-15 | 2003-02-19 | Pfizer Products Inc. | Pharmaceutical combinations comprising neuronal nitric oxide synthase inhibitors for the treatment of neurodegenerative diseases |
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WO2006027223A1 (en) * | 2004-09-07 | 2006-03-16 | Laboratorios Del Dr. Esteve, S.A. | Use of piperazine derivatives and analogues for the manufacture of a medicament for the prophylaxis and/or treatment of disorders of food ingestion |
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US9227935B2 (en) | 2007-06-08 | 2016-01-05 | Janssen Pharmaceutical N.V. | Piperidine/piperazine derivatives |
US9499567B2 (en) | 2007-06-08 | 2016-11-22 | Janssen Pharmaceutica N.V. | Piperidine/piperazine derivatives |
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